Spontaneous Coronary Artery Disease in a Healthy Fibromuscular Dysplasia Patient: A Case Report  

作　　者：Munir Shunnar Obada Alshaikh Maha Alzubaidi Hyun-Ryung Choi Munir Shunnar;Obada Alshaikh;Maha Alzubaidi;Hyun-Ryung Choi(School of Medicine, St. Georges University, West Indies, Grenada;Bon Secour St. Vincent Mercy Health, Family Medicine, Toledo, OH, USA)

机构地区：[1]School of Medicine, St. Georges University, West Indies, Grenada [2]Bon Secour St. Vincent Mercy Health, Family Medicine, Toledo, OH, USA

出　　处：《Case Reports in Clinical Medicine》2024年第9期375-381,共7页临床医学病理报告（英文）

摘　　要：Our case is a 72-year-old female with Fibromuscular Dysplasia (FMD) presented to the Emergency Department (ED) with acute coronary syndrome (ACS), more specifically NSTEMI. In ED, troponin levels were elevated and non-ST segment elevation myocardial infarction (NSTEMI) was detected on electrocardiogram (ECG). Computed tomography (CT) scan showed Internal Carotid artery (ICA) pseudoaneurysm. Cardiac catheterization (CATH) was performed and revealed occlusion of the Left anterior descending (LAD) artery. Spontaneous coronary artery dissection (SCAD) was suspected due to the history of FMD without a history of hypertension, smoking or substance use.Our case is a 72-year-old female with Fibromuscular Dysplasia (FMD) presented to the Emergency Department (ED) with acute coronary syndrome (ACS), more specifically NSTEMI. In ED, troponin levels were elevated and non-ST segment elevation myocardial infarction (NSTEMI) was detected on electrocardiogram (ECG). Computed tomography (CT) scan showed Internal Carotid artery (ICA) pseudoaneurysm. Cardiac catheterization (CATH) was performed and revealed occlusion of the Left anterior descending (LAD) artery. Spontaneous coronary artery dissection (SCAD) was suspected due to the history of FMD without a history of hypertension, smoking or substance use.

关 键 词：SCAD NSTEMI STEMI ACS Eliquis PSEUDOANEURYSM Fibromuscular Dysplasia ANTICOAGULANT ANTIPLATELET Coronary Dissection Neuroendovascular Cardiology WARFARIN Cath Lab APIXABAN Clopidogrel 

分 类 号：R54[医药卫生—心血管疾病]